Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KADE DOUGLAS ANDERSON, P.A.
ActivePsychiatric/Mental Health, Community CNS · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1699043315
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 8, 2011 (14.367741192101 yrs)
- Last Updated
- Feb 10, 2023
- Licenses
-
PA-950 (ID)PA-950 (ID)PA-950 (ID)PA-950 (ID)
Practice Information
- Address
-
2001 S WOODRUFF AVE STE 9IDAHO FALLS, ID, 834046371Browse ID providers · Browse ZIP 83404
- Phone
- 2084193002
- Fax
- 2086565652
- Primary Specialty
-
Psychiatric/Mental Health, Community CNS
364SP0808X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Psychiatric/Mental Health, Child & Adolescent CNS
- Additional Specialty
- Psychiatric/Mental Health, Geropsychiatric CNS
- Additional Specialty
- Psychiatric/Mental Health, Community CNS
Other Psychiatric/Mental Health, Community CNS Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| MR. TODD BATES | PMHNP | 1063008829 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.